Provider Demographics
NPI:1295189009
Name:CENTRAL AUTOMOTIVE ENTERPRISE
Entity Type:Organization
Organization Name:CENTRAL AUTOMOTIVE ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MANFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCKLEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-740-1713
Mailing Address - Street 1:PO BOX 2754
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:NC
Mailing Address - Zip Code:28372-2754
Mailing Address - Country:US
Mailing Address - Phone:910-740-1713
Mailing Address - Fax:
Practice Address - Street 1:87 ARMINDA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND
Practice Address - State:NC
Practice Address - Zip Code:28383-9539
Practice Address - Country:US
Practice Address - Phone:910-740-1713
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)